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Organization
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Active
Organization
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Active
Other names
LIBERTY FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ROZIER (CFO)
(912) 369-9427
Entity
Organization
Contact information
Practice address
455 S.MAIN STREET STE 104, HINESVILLE, GA 31313
(912) 876-5644
(912) 408-3457
Mailing address
455 S MAIN STREET, SUITE 104, HINESVILLE, GA 31313-4354
(912) 876-5644
(912) 877-6341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
065972
GA
Other
Enumeration date
06/15/2011
Last updated
01/06/2022
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